Individual provider Active NPI

Anne Nicole Spray, APRN

  • Nurse Practitioner
  • Hays, KS
National Provider Identifier
1831165752
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44880 Issued in KS
Practice address
105 W 13TH St
Hays, KS 67601-3613
Phone
(785) 621-4990
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44880 KS Primary

Addresses

Primary practice location

105 W 13TH St
Hays, KS 67601-3613

Mailing address

105 W 13TH St
Hays, KS 67601-3613
Phone (785) 621-4990

Other identifiers 1

IdentifierTypeStateIssuer
100345360CMedicaidKS

Other names 1

  • Anne Nicole Deines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000198 KS Practitioner - Nurse Practitioner 8628028156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Clinic IncGroup PAC ID 8820149834, 14 clinicians

Practice addresses (Care Compare)

105 W 13TH St
Hays, KS 67601-3613
Phone 785621499023

Hospital & facility affiliations

  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • Good Samaritan Home Health of Central Kansas Home health agency, Hays, KS, CCN 178064
  • Hospice & Palliative Care at Haysmed Hospice, Hays, KS, CCN 171533
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311
  • Russell Regional Hospital Hospital, Russell, KS, CCN 171350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Clinic, Inc. CurrentSince Apr 12, 2018 Accepting new patients
First Care Clinic, Inc. CurrentSince Apr 12, 2018 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients

Locations

1923 E 22nd St
Hays, KS 67601
Phone (785) 621-4900

105 W 13th St
Hays, KS 67601
Phone (785) 621-4990

1301 Main St
Hays, KS 67601
Phone (785) 301-9390

Interoperability endpoints

  • Direct secure messaging: anicole.spray@khindirect.org
  • Direct secure messaging: ann.spray.p1@direct.firstcareclinic.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1831165752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 13TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013613",
            "telephone_number": "785-621-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 13TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013613",
            "telephone_number": "785-621-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAY",
        "first_name": "ANNE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100345360C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "DEINES",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.